ADVENTIST SENIOR LIVING SERVICES NPI 1225163520

NPI Information

NPI: 1225163520
Provider Name: ADVENTIST SENIOR LIVING SERVICES

Doing Business As: ADVENTIST DIALYSIS SERVICES

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
12325 NEW HAMPSHIRE AVE
SILVER SPRING, MD
ZIP 20904
Phone: (301) 622-4200
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ADVENTIST SENIOR LIVING SERVICES is an end-stage renal disease (esrd) treatment clinic center in Silver Spring, MD. ADVENTIST SENIOR LIVING SERVICES NPI is 1225163520. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Dialysis Services.

The provider's business location address is:

12325 NEW HAMPSHIRE AVE
SILVER SPRING, MD
ZIP 20904-957
Phone: (301) 622-4200

The provider's authorized official is Richard A Marizan .
The authorized official title is Director, Central Business Office and has the following contact phone number (301) 315-3272.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 3/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	408123400	MEDICAID	MARYLAND
2	212586	MEDICARE ID-TYPE UNSPECIFIED		PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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